Sensory Examination Flashcards

1
Q

Examined in peripheral sensory examination

A

Spinal cord/nerve (peripheral nerve)
Tactile (touch, pain, temp)
Vibration
Position

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2
Q

Examined in cortical sensory examination

A
Somatosensory cortex
discriminative senses
- stereognosis
- graphesthesia
- 2 point discrimination
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3
Q

Assessment for light touch sensation

A

Use wisp of cotton

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4
Q

Abnormal finding to touch: absent sensation

A

Anesthesia

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5
Q

Abnormal finding to touch: decreased sensation

A

Hypoesthesia

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6
Q

Abnormal finding of touch: increased sensation

A

Hyperesthesia

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7
Q

Assessment for pain sensation

A

Test with pinprick

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8
Q

Abnormalities to pain: absent sensation

A

Analgesia

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9
Q

Abnormalities to pain: decreased sensation

A

Hypoalgesia

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10
Q

Abnormalities to pain: increased sensation

A

Hyperalgesia

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11
Q

Assessment for Temperature

A

Test tubes, hot and cold water

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12
Q

Tested only when pain sensation is abnormal

A

Temperature

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13
Q

Assessment for Vibration sense

A

Use of tuning fork (128Hz)

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14
Q

Dorsal column testing

A

Propioception

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15
Q

First sensation lost in peripheral neuropathy, diabetic nephropathy, and Buerger’s dse

A

Vibration

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16
Q

Lesion/disease in where: loss of vibration sense

A

Posterior column

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17
Q

Identification of an object by touch or feel

A

Stereognosis

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18
Q

Inability to recognize familiar objects by touch or feel

A

Astereognosis

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19
Q

Only one hand cannot recognize familiar objects by touch or feel

A

Tactile agnosia

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20
Q

Number/Letter identification

A

Graphesthesia

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21
Q

2pt. Discrimination: Object placed >5mm distance

A

Double stimuli

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22
Q

2pt. Discrimination: Object placed <5mm distance

A

Single stimulus

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23
Q

Sensory examination not done in children 6 years old and younger

A

Cortical sensory examinations

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24
Q

Contralateral loss of 2 pt discrimination, astereognosis, sensory inattention and agraphesthesia

A

Cortical sensory loss

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25
Q

Able to recognize all sensations but localize them poorly; parietal lobe lesions

A

Cortical sensory loss

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26
Q

Loss of 2pt. discrimination, astereognosis, agraphesthesia, sensory inattention on RIGHT side of patient’s body

A

LEFT Parietal brain abscess

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27
Q

Inability to process sensory information

A

Agnosia

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28
Q

Loss of ability to recognize a single modality (usually hearing and vision) with no significant memory loss

A

Agnosia

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29
Q

Where is the damage in Agnosia?

A

Occipitotemporal border

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30
Q

Where is the damage in Astereognosis?

A

Somatosensory cortex (Parietal)

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31
Q

A psychiatric problem; deficit of self-awareness; unaware of existence of diability

A

Anosognosia

32
Q

Damage to what brain structures in Anosognosia? (2)

A

Parietal lobe

Frontotemporoparietal area of right hemisphere

33
Q

Single largest reason why people with schizophrenia or bipolar disorder refuse medications or do not seek treatment

A

Anosognosia

34
Q

Sensory loss based on the distribution of a single nerve supply

A

Single nerve loss

35
Q

Peripheral Neuropathy
Glove and Stocking sensory loss
Commonly seen in diabetic neuropathy

A

Distal peripheral nerve loss

36
Q

Spinal cord syndrome: affecting part of the trunk, pelvic region and the legs; results from injuries LOWER on the spine

A

Paraplegia

37
Q

Spinal cord syndrome: affects trunk, arms, legs, hands and pelvic region; results from injuries HIGHER on the spine

A

Quadriplegia (tetraplegia)

38
Q

Spinal cord injury: complete loss of motor and sensory function BELOW the spinal cord injury

A

Complete spinal cord injury

39
Q

C4 and C6 injury

A

Quadriplegia

40
Q

T6 and L1 injury

A

Paraplegia

41
Q

Spinal cord injury: BELOW injury level, motor PARALYSIS, loss of PAIN and TEMPERATURE sensation

A

Anterior Cord Syndrome

42
Q

Spinal cord injury: BELOW injury level, motor WEAKNESS or PARALYSIS on ONE side of the body (hemiparaplegia);
loss of sensation on OPPOSITE side (hemianesthesia)

A

Brown-Sequard Syndrome

Lateral Hemisection

43
Q

Spinal cord injury: BELOW injury level, motor function PRESERVED, loss of SENSORY function (pressure, stretch, propioception)

A

Posterior Cord Syndrome

44
Q

Spinal cord injury: results from cervical spine injuries; greater motor impairment of upper body

A

Central Cord Syndrome

45
Q

ASIA SCI Impairment Grade: complete; no motor or sensory function preserved

A

Grade A

46
Q

ASIA SCI Impairment grade: incomplete; sensory but no motor function preserved below the neurologic level (S4-5)

A

Grade B

47
Q

ASIA SCI Impairment grade: incomplete motor; >50% of key muscles below the neurologic level have muscle strength grade <3

A

Grade C

48
Q

ASIA SCI Impairment grade: incomplete motor; >50% of key muscles below the neurologic level have a muscle strength grade equal to or >3

A

Grade D

49
Q

ASIA SCI impairment grade: normal

A

Grade E

50
Q

Spinal cord ends at the spinal level L1,L2 as _____

A

Conus medullaris/terminalis

51
Q

Bundle of spinal nerves

A

Cauda equina (horse tail)

52
Q

Lumbar enlargement

A

L2-L5

53
Q

Sacral enlargement

A

S1-S5

54
Q

Higher medullary cone

A

Conus medullaris syndrome

55
Q

Lower medullary cone

A

Cauda equina syndrome

56
Q

Injury to the terminal spinal cord

Early incontinence, perineal numbness and preserved knee reflex

A

Conus Medullaris Syndrome

57
Q

Injury to the lumbosacral nerve roots in the spinal canal; asymmetric lower limb weakness, leg pain, numbness absent reflexes, delayed incontinence

A

Cauda Equina Syndrome

58
Q

Exit of nerve roots in the cervical region

A

Exit ABOVE

59
Q

Exit of spinal nerve roots in thoracic and lumbar regions

A

Exit BELOW

60
Q

C7 nerve root exists (ABOVE or BELOW) C7 vertebral body

A

Above, through C6-C7 neural foramen

61
Q

C8 nerve root exits between ____

A

C7 and T1; no C8 vertebral body

62
Q

L3 nerve root exits (ABOVE or BELOW) L3 vertebral body

A

Below, through L3-L4 foramen

63
Q

Damage in _____ results in loss of pain/light touch and temperature on IPSILATERAL face and CONTRALATERAL side of the body

A

Brainstem damage

64
Q

Damage in _____ results in CONTRALATERAL hemisensory loss of all movements

A

Thalamic damage

65
Q

Loss of pain and temperature on the left side of the face and on contralateral side of the body

A

Left Brainstem Hemorrhage

66
Q

Loss of all modalities of sensation on the left side of face and body

A

Right Thalamic Hemorrhage

67
Q

Loss of two point discrimination, stereognosis, agraphesthesia and sensory inattention on right side

A

Left Parietal Brain Abscess

68
Q

Classification of pain: represents the normal response to noxious insult or injury of tissues such as skin, muscles, visceral organs, joints, tendons or bones

A

Nociceptive pain

69
Q

Classification of pain: pain initiated or caused by a primary lesion or disease in the somatosensory nervous system

A

Neuropathic pain

70
Q

Classification of pain: a result of activation and sensitization of the nociceptive pain pathway by a variety of mediators released at site of tissue inflammation

A

Inflammatory Pain

71
Q

Pain intensity: <4

A

Mild

72
Q

Pain intensity: >7

A

Severe

73
Q

Pain of less than 3 to 6 months duration

A

Acute pain

74
Q

Pain lasting for more than 3-6 months or persisting beyond the course of an acute disease, or after tissue healing is complete

A

Chronic pain

75
Q

Acute pain flare superimposed on underlying chronic pain

A

Acute-on-chronic pain